Healthcare Provider Details

I. General information

NPI: 1619514734
Provider Name (Legal Business Name): JANET LANAIR HADLEY LCPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/09/2019
Last Update Date: 08/20/2024
Certification Date: 08/20/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 19TH ST NE
WASHINGTON DC
20002-4710
US

IV. Provider business mailing address

7328 SHADY GLEN TER
CAPITOL HEIGHTS MD
20743-3457
US

V. Phone/Fax

Practice location:
  • Phone: 202-545-3180
  • Fax: 443-524-3223
Mailing address:
  • Phone: 301-324-1162
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLC3195
License Number StateMD
# 2
Primary TaxonomyY
Taxonomy Code101YS0200X
TaxonomySchool Counselor
License NumberPRC1246
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: